Government Programs Electronic Enrollment Analyst

Posted:
11/27/2024, 12:50:05 AM

Location(s):
Michigan, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Legal & Compliance

Job Title:

Government Programs Electronic Enrollment Analyst

Number of Positions:

2

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

To coordinate, implement, test and oversee all aspects of electronic eligibility enrollment from external sources across a wide business domain for government programs business.

Primary Job Responsibilities:

  • Schedules, monitors and updates ongoing electronic data files.

  • Researches, analyzes, and troubleshoots electronic data files and system problems and provides information to other business units regarding payment and file processing results. Initiates corrective action, providing follow-up to ensure that correction is completed.

  • Requests, oversees and tests programming changes to electronic data processing; consulting with clients and third-party administrators to determine and resolve electronic data reporting and system logic problems and errors.

  • Implements electronic data file transmissions and facilitates external user access.

  • Coordinates and provides additional administrative support for government programs related projects.

  • Assists programmers in reviewing program code, analyzing, automation and testing projects, and works with current and emerging technologies.

  • Assist encounter and claims teams regarding claims processes associated with eligibility.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor's degree in computer science, business administration or a related field and three years of experience testing, analyzing, researching, verifying, entering, modifying or updating/correcting data. Previous experience processing electronic eligibility data/files preferred. Will accept any suitable combination of education, training, or experience.

Position requires knowledge of word processing, spreadsheet, and database applications; strong analytical, problem solving and organizational skills; strong verbal and written communication skills; the ability to work independently and as part of a team; and the ability to solve problems using independent judgment.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.